title: Advanced precancerous lesions (APL) in the colonic mucosa.
abstract: Colorectal cancer is a leading cause of cancer death worldwide. Most colorectal cancers are preventable. Surveillance colonoscopy is used to detect and remove precancerous lesions. Although the majority of precancerous lesions develop sporadically, some have an inherited component. In this review, we summarize the clinical, pathologic, and molecular features of advanced precancerous lesions of the colon. The most common and clinically important intestinal polyposis syndromes, and their genetics, are also discussed. Finally, current recommendations regarding the treatment and surveillance of precancerous lesions, both in the sporadic and in inherited setting, are reviewed.
authors.affiliation: David Geffen School of Medicine at UCLA, Department of Pathology & Lab Medicine, Box 951732, 1P-172 CHS, 10833 Le Conte Ave, Los Angeles, CA 90095-1732, USA. bnaini@mednet.ucla.edu
authors.forename: Bita V
authors.initials: BV
authors.lastname: Naini
authors.forename: Robert D
authors.initials: RD
authors.lastname: Odze
mesh_terms: D000236:Adenoma / Q000473:pathology*; D011125:Adenomatous Polyposis Coli / Q000235:genetics / Q000473:pathology; D003110:Colonic Neoplasms / Q000473:pathology*; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology*; D010580:Peutz-Jeghers Syndrome / Q000235:genetics / Q000473:pathology; D011127:Polyps / Q000473:pathology; D011230:Precancerous Conditions / Q000473:pathology*